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  1. Article ; Online: The surgical treatment of paraesophageal hernias.

    Feo, Carlo V / Zuolo, Michele / Patti, Marco G

    Annali italiani di chirurgia

    2013  Volume 84, Issue 3, Page(s) 257–61; discussion 262

    Abstract: Paraesophageal hernias account for about 5 to 10% of all hiatal hernias. The surgical approach to these hernias has radically changed over the last 15 years, as mostly patients who are symptomatic are operated on nowadays, and preferably by a ... ...

    Abstract Paraesophageal hernias account for about 5 to 10% of all hiatal hernias. The surgical approach to these hernias has radically changed over the last 15 years, as mostly patients who are symptomatic are operated on nowadays, and preferably by a laparoscopic approach rather than by laparotomy or thoracotomy. We reviewed the surgical repair of paraesophageal hernias, focusing particularly on the operative approach and technique.
    MeSH term(s) Digestive System Surgical Procedures/methods ; Hernia, Hiatal/surgery ; Herniorrhaphy/methods ; Humans
    Language English
    Publishing date 2013-05
    Publishing country Italy
    Document type Journal Article ; Review
    ZDB-ID 418927-9
    ISSN 2239-253X ; 0003-469X
    ISSN (online) 2239-253X
    ISSN 0003-469X
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  2. Article: Upper aerodigestive tract disorders and gastro-oesophageal reflux disease.

    Ciorba, Andrea / Bianchini, Chiara / Zuolo, Michele / Feo, Carlo Vittorio

    World journal of clinical cases

    2015  Volume 3, Issue 2, Page(s) 102–111

    Abstract: A wide variety of symptoms and diseases of the upper aerodigestive tract are associated to gastro-oesophageal reflux disease (GORD). These disorders comprise a large variety of conditions such as asthma, chronic otitis media and sinusitis, chronic cough, ...

    Abstract A wide variety of symptoms and diseases of the upper aerodigestive tract are associated to gastro-oesophageal reflux disease (GORD). These disorders comprise a large variety of conditions such as asthma, chronic otitis media and sinusitis, chronic cough, and laryngeal disorders including paroxysmal laryngospasm. Laryngo-pharyngeal reflux disease is an extraoesophageal variant of GORD that can affect the larynx and pharynx. Despite numerous research efforts, the diagnosis of laryngopharyngeal reflux often remains elusive, unproven and controversial, and its treatment is then still empiric. Aim of this paper is to review the current literature on upper aerodigestive tract disorders in relation to pathologic gastro-oesophageal reflux, focusing in particular on the pathophysiology base and results of the surgical treatment of GORD.
    Language English
    Publishing date 2015-02-12
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2307-8960
    ISSN 2307-8960
    DOI 10.12998/wjcc.v3.i2.102
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  3. Article ; Online: Autologous adipose-derived stem cells: Basic science, technique, and rationale for application in ulcer and wound healing.

    Zollino, Ilaria / Zuolo, Michele / Gianesini, Sergio / Pedriali, Massimo / Sibilla, Maria Grazia / Tessari, Mirko / Carinci, Francesco / Occhionorelli, Savino / Zamboni, Paolo

    Phlebology

    2017  Volume 32, Issue 3, Page(s) 160–171

    Abstract: Objectives The present review represents a translational boundary between basic research and surgery, particularly focusing on the promising application of adipose-derived stem cells harvested intra-operatively during debridement of venous leg ulcers. ... ...

    Abstract Objectives The present review represents a translational boundary between basic research and surgery, particularly focusing on the promising application of adipose-derived stem cells harvested intra-operatively during debridement of venous leg ulcers. Methods We reviewed 830 out of 5578 articles on MEDLINE starting from 1997 and sorted by the relevance option. Results The technique currently used for adipose-derived stem cells intra-operative harvesting is presented, including a safety evaluation on a cohort of 5089 revised patients who underwent plastic surgery and maxillo-facial surgical procedures. Complications were reported in 169 cases (3.3%). One hundred and forty-one (2.77%) patients were classified as having minor complications, specifically: nodularity/induration 93 (1.83%), dysesthesia 14 (0.26%), hematoma 12 (0.23%), superficial infection 11 (0.21%), pain 7 (0.13%), poor cosmesis 3 (0.06%), and abnormal breast secretion 1 (0.02%), while 28 patients (0.55%) were classified as having major complications, specifically: deep infection 22 (0.43%), sepsis 3 (0.06%), abdominal hematoma 2 (0.04%), and pneumothorax 1 (0.02%). Application of cell therapy in venous leg ulcer is currently used only for patients not responding to the standard treatment. The review shows the lack of randomized clinical trials for application of adipose-derived stem cells among treatments for venous leg ulcer. Finally, adipose-derived stem cells implantation at the wound site promotes a new tissue formation rich in vascular structures and remodeling collagen. Conclusion Adipose-derived stem cells strategy represents a great opportunity for the treatment of chronic wounds, due to the simplicity of the technique and the application of cell treatment in the operating room immediately following debridement. However, clinical studies and data from randomized trials are currently lacking.
    MeSH term(s) Adipose Tissue/cytology ; Adipose Tissue/metabolism ; Animals ; Autografts ; Cell- and Tissue-Based Therapy/adverse effects ; Cell- and Tissue-Based Therapy/methods ; Humans ; Stem Cell Transplantation ; Stem Cells/cytology ; Stem Cells/metabolism ; Varicose Ulcer/metabolism ; Varicose Ulcer/therapy ; Wound Healing
    Language English
    Publishing date 2017-04
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 645172-x
    ISSN 1758-1125 ; 0268-3555
    ISSN (online) 1758-1125
    ISSN 0268-3555
    DOI 10.1177/0268355516641546
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 2538: Show issues Location:
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  4. Article ; Online: Preoperative endoscopic tattooing to mark the tumour site does not improve lymph node retrieval in colorectal cancer: a retrospective cohort study.

    Feo, Carlo V / Portinari, Mattia / Zuolo, Michele / Targa, Simone / Matarese, Vincenzo G / Gafà, Roberta / Forini, Elena / Lanza, Giovanni

    Journal of negative results in biomedicine

    2015  Volume 14, Page(s) 9

    Abstract: Background: A direct correlation between number of lymph nodes retrieved and evaluated after a colectomy for colorectal cancer and survival of the patient has been reported, and consensus guidelines recommend to assess at least 12 lymph nodes for ... ...

    Abstract Background: A direct correlation between number of lymph nodes retrieved and evaluated after a colectomy for colorectal cancer and survival of the patient has been reported, and consensus guidelines recommend to assess at least 12 lymph nodes for adequate staging. Many factors (i.e., patients' and tumour characteristics, surgeon, and pathologist) may influence the evaluation of the presence of neoplastic disease in lymph nodes as well as the total number of lymph nodes examined. Preoperative endoscopic tattooing to mark the site of the tumour has recently been suggested to facilitate the retrieval of lymph nodes in colorectal specimens. The aim of this study was to investigate its association with adequate lymphadenectomy (≥12 nodes) after colorectal resection for cancer.
    Results: All patients undergoing elective colorectal resection for cancer between 2009 and 2011 at the S. Anna University Hospital in Ferrara, Italy (N = 250) were retrospectively divided into two cohorts according to whether ink tattooing to mark the tumour site was performed during preoperative colonoscopy. The two cohorts were comparable regarding age, gender, body mass index, tumour location and size, TNM staging, and DNA microsatellite instability-high status. No difference between the tattoo (N = 107) and control (N = 143) groups could be detected in the rate of adequate lymphadenectomies performed (78% vs. 79%, p = 0.40). All factors known to influence lymph nodes retrieval from colorectal specimen were specifically evaluated. Rectal and colonic cancers were analysed together and separately. Full adjusted logistic regression analysis in patients who underwent colonic resection showed that right hemicolectomy (OR 4.72; CI95% 1.09-20.36) was the only factor associated to adequate lymphadenectomy. No association between ink tattooing performed preoperatively to mark the site of the tumour and adequate lymphadenectomy after colorectal resection was found with logistic regression analysis.
    Conclusion: This study shows that preoperative ink tattooing utilized to mark the site of the tumour does not improve adequate lymphadenectomy and lymph nodes yield from colorectal cancer specimens. Further studies are therefore needed to determine if preoperative colonoscopic tattooing to mark the tumour site can refine staging.
    MeSH term(s) Aged ; Aged, 80 and over ; Cohort Studies ; Colorectal Neoplasms/diagnosis ; Colorectal Neoplasms/surgery ; Endoscopy/methods ; Endoscopy/standards ; Female ; Humans ; Lymph Node Excision/methods ; Lymph Node Excision/standards ; Male ; Middle Aged ; Preoperative Care/methods ; Preoperative Care/standards ; Retrospective Studies ; Tattooing/methods ; Tattooing/standards
    Language English
    Publishing date 2015-05-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 2091480-5
    ISSN 1477-5751 ; 1477-5751
    ISSN (online) 1477-5751
    ISSN 1477-5751
    DOI 10.1186/s12952-015-0027-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Correction: Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN).

    Degiuli, Maurizio / Ortenzi, Monica / Tomatis, Mariano / Puca, Lucia / Cianflocca, Desiree / Rega, Daniela / Maroli, Annalisa / Elmore, Ugo / Pecchini, Francesca / Milone, Marco / La Mendola, Roberta / Soligo, Erica / Deidda, Simona / Spoletini, Domenico / Cassini, Diletta / Aprile, Alessandra / Mineccia, Michela / Nikaj, Herald / Marchegiani, Francesco /
    Maiello, Fabio / Bombardini, Cristina / Zuolo, Michele / Carlucci, Michele / Ferraro, Luca / Falato, Armando / Biondi, Alberto / Persiani, Roberto / Marsanich, Patrizia / Fusario, Daniele / Solaini, Leonardo / Pollesel, Sara / Rizzo, Gianluca / Coco, Claudio / Di Leo, Alberto / Cavaliere, Davide / Roviello, Franco / Muratore, Andrea / D'Ugo, Domenico / Bianco, Francesco / Bianchi, Paolo Pietro / De Nardi, Paola / Rigamonti, Marco / Anania, Gabriele / Belluco, Claudio / Polastri, Roberto / Pucciarelli, Salvatore / Gentilli, Sergio / Ferrero, Alessandro / Scabini, Stefano / Baldazzi, Gianandrea / Carlini, Massimo / Restivo, Angelo / Testa, Silvio / Parini, Dario / De Palma, Giovanni Domenico / Piccoli, Micaela / Rosati, Riccardo / Spinelli, Antonino / Delrio, Paolo / Borghi, Felice / Guerrieri, Marco / Reddavid, Rossella

    Surgical endoscopy

    2023  Volume 37, Issue 6, Page(s) 5008–5009

    Language English
    Publishing date 2023-05-09
    Publishing country Germany
    Document type Published Erratum
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-023-10102-0
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  6. Article ; Online: Minimally invasive vs. open segmental resection of the splenic flexure for cancer: a nationwide study of the Italian Society of Surgical Oncology-Colorectal Cancer Network (SICO-CNN).

    Degiuli, Maurizio / Ortenzi, Monica / Tomatis, Mariano / Puca, Lucia / Cianflocca, Desiree / Rega, Daniela / Maroli, Annalisa / Elmore, Ugo / Pecchini, Francesca / Milone, Marco / La Mendola, Roberta / Soligo, Erica / Deidda, Simona / Spoletini, Domenico / Cassini, Diletta / Aprile, Alessandra / Mineccia, Michela / Nikaj, Herald / Marchegiani, Francesco /
    Maiello, Fabio / Bombardini, Cristina / Zuolo, Michele / Carlucci, Michele / Ferraro, Luca / Falato, Armando / Biondi, Alberto / Persiani, Roberto / Marsanich, Patrizia / Fusario, Daniele / Solaini, Leonardo / Pollesel, Sara / Rizzo, Gianluca / Coco, Claudio / Di Leo, Alberto / Cavaliere, Davide / Roviello, Franco / Muratore, Andrea / D'Ugo, Domenico / Bianco, Francesco / Bianchi, Paolo Pietro / De Nardi, Paola / Rigamonti, Marco / Anania, Gabriele / Belluco, Claudio / Polastri, Roberto / Pucciarelli, Salvatore / Gentilli, Sergio / Ferrero, Alessandro / Scabini, Stefano / Baldazzi, Gianandrea / Carlini, Massimo / Restivo, Angelo / Testa, Silvio / Parini, Dario / De Palma, Giovanni Domenico / Piccoli, Micaela / Rosati, Riccardo / Spinelli, Antonino / Delrio, Paolo / Borghi, Felice / Guerrieri, Marco / Reddavid, Rossella

    Surgical endoscopy

    2022  Volume 37, Issue 2, Page(s) 977–988

    Abstract: Background: Evidence on the efficacy of minimally invasive (MI) segmental resection of splenic flexure cancer (SFC) is not available, mostly due to the rarity of this tumor. This study aimed to determine the survival outcomes of MI and open treatment, ... ...

    Abstract Background: Evidence on the efficacy of minimally invasive (MI) segmental resection of splenic flexure cancer (SFC) is not available, mostly due to the rarity of this tumor. This study aimed to determine the survival outcomes of MI and open treatment, and to investigate whether MI is noninferior to open procedure regarding short-term outcomes.
    Methods: This nationwide retrospective cohort study included all consecutive SFC segmental resections performed in 30 referral centers between 2006 and 2016. The primary endpoint assessing efficacy was the overall survival (OS). The secondary endpoints included cancer-specific mortality (CSM), recurrence rate (RR), short-term clinical outcomes (a composite of Clavien-Dindo > 2 complications and 30-day mortality), and pathological outcomes (a composite of lymph nodes removed ≧12, and proximal and distal free resection margins length ≧ 5 cm). For these composites, a 6% noninferiority margin was chosen based on clinical relevance estimate.
    Results: A total of 606 patients underwent either an open (208, 34.3%) or a MI (398, 65.7%) SFC segmental resection. At univariable analysis, OS and CSM were improved in the MI group (log-rank test p = 0.004 and Gray's tests p = 0.004, respectively), while recurrences were comparable (Gray's tests p = 0.434). Cox multivariable analysis did not support that OS and CSM were better in the MI group (p = 0.109 and p = 0.163, respectively). Successful pathological outcome, observed in 53.2% of open and 58.3% of MI resections, supported noninferiority (difference 5.1%; 1-sided 95%CI - 4.7% to ∞). Successful short-term clinical outcome was documented in 93.3% of Open and 93.0% of MI procedures, and supported noninferiority as well (difference - 0.3%; 1-sided 95%CI - 5.0% to ∞).
    Conclusions: Among patients with SFC, the minimally invasive approach met the criterion for noninferiority for postoperative complications and pathological outcomes, and was found to provide results of OS, CSM, and RR comparable to those of open resection.
    MeSH term(s) Humans ; Colon, Transverse/surgery ; Laparoscopy/methods ; Treatment Outcome ; Retrospective Studies ; Surgical Oncology ; Colonic Neoplasms/surgery ; Postoperative Complications/surgery ; Minimally Invasive Surgical Procedures
    Language English
    Publishing date 2022-09-09
    Publishing country Germany
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 639039-0
    ISSN 1432-2218 ; 0930-2794
    ISSN (online) 1432-2218
    ISSN 0930-2794
    DOI 10.1007/s00464-022-09547-6
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  7. Article ; Online: Global attitudes in the management of acute appendicitis during COVID-19 pandemic

    B, Ielpo / M, Podda / G, Pellino / F, Pata / R, Caruso / G, Gravante / Saverio, Di / Orengia, Adam / Chowdary, Aditya / Kulkarni, Aditya / Kuvvetli, Adnan / Navarro, Adolfo / Pisanu, Adolfo / Smith, Adrian / Cavero Ibiricu, Adriana / Nacion, Aeris Jane D. / Alsaleh, Ahmad / Alhazmi, Ahmad / Elmabri, Ahmad /
    Wani, Ajaz / Rencuzogullari, Ahmet / Sarriugarte Lasarte, Aingeru / Valle Rubio, Ainhoa / Bavikatte, Akshay / Kumar, Akshay / Jamiri, Al-radjid / Michel Alvarado Padilla, Alain / Cacurri, Alban / de San Ildefonso, Alberto / Porcu, Alberto / Sartori, Alberto / Rocca, Aldo / Paz Yáñez, Alejandro / Becaria, Alejandro / Solís-Peña, Alejandro / Sretenović, Aleksandar / Urbistondo, Alex / Bandin, Alfonso / Najar, Alfonso / De Luca, Alessandro / Boddy, Alex / Charalabopoulos, Alexandros / Tzivanakis, Alexios / Amendola, Alfonso / Ramirez-Gutierrez de Velasco, Alfredo / Cihat Yildirim, Ali / Frontali, Alice / Oumar Toure, Alpha / García-Granero, Alvaro / Martínez Roldan, Amaia / Sanz Larrainzar, Amaia / Sanjiva Ratnayake, Amila / María Gonzalez-Ganso, Ana / Minaya-Bravo, Ana M. / Das, Andre / Bondurri, Andrea / Costanzi, Andrea / Lucchi, Andrea / Mazzari, Andrea / Musig, Andrea / Peloso, Andrea / Piano, Andrea / Police, Andrea / Mihailescu, Andrei / Pouy, Andrés / Romano, Angela / Iossa, Angelo / Carmen Leonetti, Anna / Guariniello, Anna / Isaac, Anna / Pia Delli Bovi, Anna / Chessa, Antonella / Tromba, Antonella / Álvarez Martínez, Antonio / Brillantino, Antonio / Caira, Antonio / Castaldi, Antonio / Ferronetti, Antonio / Giuliani, Antonio / Prestera, Antonio / Ramos-De la Medina, Antonio / Tarasconi, Antonio / Tornambè, Antonino / Picciariello, Arcangelo / Ioannidis, Argyrios / Leppäniemi, Ari / Khan, Arshad / Rashid, Arshad / Luis Eduardo Pérez-Sánchez, Arteaga / Mittal, Ashok / Rahman Mitul, Ashrarur / Mehraj, Asif / Laharwal, Asim / Dorismé, Asnel / Marinis, Athanasios / Iqbal, Atif / Moncada, Augusto / Braccio, Bartolomeo / Alkhafaji, Basim / de Andrés Asenjo, Beatriz / Martin-Perez, Beatriz / De Simone, Belinda / Sánchez Pérez, Belinda / Creavin, Ben / Calì, Benedetto / Cali, Benedetto / Pascotto, Beniamino / Stubbs, Benjamin / Zavala Retes, Benjamin / Jovanovic, Branislav / KP Goh, Brian / Sensi, Bruno / Biddau, Carlo / Gazia, Carlo / Vallicelli, Carlo / Alberto Fagundes, Carlos / Cerdán Santacruz, Carlos / Chirico, Carlos / Javier Gómez Díaz, Carlos / Petrola, Carlos / Sánchez Rodriguez, Carlos / Yánez Benítez, Carlos / Dammaro, Carmelisa / Lo Faro, Carmelo / Reinke, Caroline / Dominguez Paez, Casandra / Oliva, Catalina / Paranjape, Charudutt / Thomas, Charlotte / Fung Chia, Chi / Kwan Kong, Chi / De Lucia, Chiara / Ovalle Chao, Christian / Arcudi, Claudio / Guerci, Claudio / Chia, Clement / Parise, Cristiano / Folliero, Cristina / Varela, Cristopher / Ferguson, Dalya M. / Camacho, Daniel / Popowich, Daniel / Souza Lima, Daniel / Rega, Daniela / Delogu, Daniele / Zigiotto, Daniele / Vinci, Danilo / D’Antonio, Dario / Parini, Dario / Alessio Merlini, David / DE Zimmerman, David / Moro-Valdezate, David / Pertile, Davide / Maria Giusti, Deborah / Keller, Deborah S. / Tarik, Delko / Kalivaçi, Denis / Mazingi, Dennis / Gabriela Maldonado-Pintado, Diana / Sasia, Diego / Linardoutsos, Dimitrios / Osilli, Dixon / Murrone, Domenico / Russello, Domenico / Rodas, Edgar / Alberto Acuña Roa, Edisson / Ricciardi, Edoardo / Rosso, Edoardo / Saladino, Edoardo / Flores-Villalba, Eduardo / Ruiz Ajs, Eduardo / Smith-Singares, Eduardo / Baili, Efstratia / Kouroumpas, Efstratios / Bourmpouteli, Eirini / Douka, Eleftheria / Martin-Perez, Elena / Guaitoli, Eleonora / Samadov, Elgun / Francone, Elisa / Vaterlini, Elisa / Morales, Emilio / Peña, Emilio / Zhao, Enhao / Del Pozo Andres, Eneko / Benzoni, Enrico / Erdas, Enrico / Pinotti, Enrico / Colás-Ruiz, Enrique / Aytac, Erman / Laterza, Ernesto / Agastra, Ervis / Foianini, Esteban / Moscoso, Esteban / Laviano, Estefania / Marra, Ester / Cardamone, Eugenia / Licardie, Eugenio / Mpaili, Eustratia / Pinna, Eva / Varo, Evaristo / Martín Navarro, Fabian / Marino, Fabio / Medas, Fabio / Romano, Fabio / Maraska, Fatlum / Saliu, Fatmir / Madrid, Fausto / Rosa, Fausto / Mastella, Federica / Gheza, Federico / Luvisetto, Federico / Alconchel, Felipe / Monge Vieira, Felipe / Pareja, Felipe / Agresta, Ferdinando / Luna, Fernanda / Bonilla, Fernando / Cordera, Fernando / Burdió, Fernando / Mendoza-Moreno, Fernando / Muñoz Flores, Fernando / Pardo Aranda, Fernando / Taylor, Fiona / Ramos, Flavia L. / Fernandes, Flavio / Paola Tropeano, Francesca / Balestra, Francesco / Bianco, Francesco / Ceci, Francesco / Colombo, Francesco / Di Marzo, Francesco / Ferrara, Francesco / Lancellotti, Francesco / Lazzarin, Francesco / Litta, Francesco / Martini, Francesco / Pizza, Francesco / Roscio, Francesco / Virdis, Francesco / Blanco Antona, Francisco / Cervantes Ramírez, Francisco / Miguel Fernandez, Francisco / Oliver Llinares, Francisco / Quezada, Francisco / Schlottmann, Francisco / Quezada, Fransisco / Herrera-Almario, Gabriel / Massaferro, Gabriel / Bislenghi, Gabriele / van Ramshorst, Gabrielle / Gallo, Gaetano / Luglio, Gaetano / Bointas, Georgios / Kampouroglou, Georgios / Papadopoulos, Georgios / Arredondo Manrique, Gerardo / Calini, Giacomo / Nastri, Giacomo / Formisano, Giampaolo / Galiffa, Giampaolo / Marco Palini, Gian / Colucci, Gianluca / Pagano, Gianluca / Pellino, Gianluca / Vanni, Gianluca / Casoni Pattacini, Gianmaria / Gravante, Gianpiero / De Paola, Gilda / Lisi, Giorgio / Partida, Giovanna / Bellanova, Giovanni / De Nobili, Giovanni / Sammy Necchi, Giovanni / Sinibaldi, Giovanni / Tebala, Giovanni / Bagaglini, Giulia / Izzo, Giuliano / Argenio, Giulio / Brisinda, Giuseppe / Candilio, Giuseppe / Di Grezia, Giuseppe / Esposito, Giuseppe / Faillace, Giuseppe / Frazzetta, Giuseppe / La Gumina, Giuseppe / Nigri, Giuseppe / Romeo, Giuseppe / Chocarro Amatriaín, Gloria / Ortega, Gloria / Martin-Martin, Gonzalo / Stavrou, Gregor A. / Gunadi, / Armand Ugon, Gustavo / Machain, Gustavo / Marcucci, Gustavo / Martínez-Mier, Gustavo / Miguel Machain, Gustavo / Nari, Gustavo / Calvo, Haydée / Fathy, Hamada / Hamilto, / Ahmed, Hazem / Faraj, Hazem / Nava, Hector / Ordas Macias, Hector / Nikaj, Herald / Solano, Heriberto / Ahmed Khan, Huma / Sánchez Alarcón, Humberto / Ebied, Husam / Giani, Iacopo / Villalabeitia Ateca, Ibabe / Neri, Ignacio / Alberdi San Roman, Igor / Fidoshev, Iliya / Martinez Rodriguez, Iñaki / Negoi, Ionut / Ortega, Irene / Bernescu, Irina / Shari Russo, Iris / Vincente Rodríguez, Irune / Palomares, Irving / Baltazar, Isaac / Jaén Torrejimeno, Isabel / María Cornejo Jurado, Isabel / Reccia, Isabella / Hussain, Ishtiyaq / Brito Toledo, Ismael / Mora-Guzmán, Ismael / al-Najami, Issam / Dogaru, Iulia / Romic, Ivan / Balciscueta, Izaskun / Cleo Kenington, J / Sagolsem, Jackison / Y Jang, Jae / Olivier, James / Lammel-Lindemann, Jan / Dziakova, Jana / Ismael Roldán Villavicencio, Javier / Salinas, Javier / Pejanovic Jose Gustavo Parreira, Jelena / Jovanovic, / Rincón Pérez, Jeny / AS Reyes, Jeryl / Antonio Medina Luque, Jesus / Mak, Joanna / Salas Rodriguez, Joanne / Henry Herrera Kok, Johnn / Krook, Jon / Antonio Diaz-Elizondo, Jose / Castell, Jose / Eduardo García-Flores, José / María Jover Navalón, José / Mauro Silva Rodrigues, Jose / Pereira Pinto, José / Tomas Castell Gómez, José / Bellido Luque, Juan / Carlos Martín del Olmo, Juan / Carlos Salamea, Juan / Francisco Coronel Olivier, Juan / Luis Blas Laina, Juan / Maria Ordoñez, Juliana / Gutierrez, Julieta / Abba, Julio / Ahmad Sofi, Junaid / Sherafgan, Kashaf / Sahnan, Kapil / Yanaga, Katsuhiko / Beatson, Kevin / Asim, Laharwal / Alvarez, Laura / Siragusa, Leandro / Farber, Lee / Ong, Lester / Athanasios, Liarakos / García-Bruña, Lorena / De Martino, Luca / Ferrario, Luca / Giordano, Luca / Gordini, Luca / Pio, Luca / Ponchietti, Luca / Moletta, Lucia / Curella, Luciano / Poggi, Luciano / Taglietti, Lucio / Bonavina, Luigi / Conti, Luigi / Goffredi, Luigi / Angel Garcia Ruiz, Luis / Barrionuevo, Luis / Enrique Fregoso, Luis / Cabrera, Luis F. / G Rodriguez, Luis / Grande, Luis / Gregorio Osoria, Luis / Javier Kantun Gonzalez, Luis / Sánchez-Guillén, Luis / Tallon-Aguilar, Luis / Tresierra, Luis / Giavarini, Luisa / Hasabelnabi, Mahmoud / Odovic, Maja / Uemura, Mamoru / Khan, Mansoor / Artiles-Armas, Manuel / David, Mara / Di Martino, Marcello / Giuseppe Spampinato, Marcello / Ribeiro Jr, Marcelo A. F. / Viola, Marcelo / Angrisani, Marco / Calussi, Marco / Cannistrà, Marco / Catarci, Marco / Cereda, Marco / Conte, Marco / Giordano, Marco / Pellicciaro, Marco / Vito Marino, Marco / E Vaterlini, Maria / Jiménez, María F. / Giulia Lolli, María / Irene Bellini, Maria / Lemma, Maria / Michela Chiarello, Maria / Nicola, Maria / Arrigo, Mario / Caneda Mejia, Mario / Montes Manrique, Mario / Rodriguez-Lopez, Mario / Serradilla-Martín, Mario / Zambrano Lara, Mario / Martínez, Marisa / Bagnall, Mark / Peter, Mark / Cañón Lara, Marta / Jimenez Gomez, Marta / Paniagua-Garcia-Señorans, Marta / Perez Gonzalez, Marta / Rutegård, Martin / Salö, Martin / Franceschilli, Marzia / Silveri, Massimiliano / Veroux, Massimiliano / Pezzulo, Massimo / Nardi, Matteo / Rottoli, Matteo / Tolonen, Matti / Pedraza Ciro, Mauricio / Zuluagua, Mauricio / Cannavò, Maurizio / Cervellera, Maurizio / Iacobone, Maurizio / Montuori, Mauro / Podda, Mauro / García Domínguez, Melody / Bingol-Kologlu, Meltem / Tahir, Mian / Lim, Michael / Sj Wilson, Michael / Wilson, Michael / Campanelli, Michela / Bisaccia, Michele / De Rosa, Michele / Maruccia, Michele / Paterno, Michele / Pisano, Michele / Torre, Michele / Treviño, Michelle / Zuolo, Michele / Hernandez Bartolome, Miguel A. / Farina, Miguel / Pera, Miguel / Prieto Calvo, Mikel / Sotelo, Milagros / Myat Thway, Min / Hassan, Mohamed / Salah Eldin Hassan, Mohamed / Azfar, Mohammad / Bouhuwaish, Mohammad / Taha, Mohammad / Zaieem, Mohammad / Korkoman, Mohammed / Guraieb, Montserrat / Shalaby, Mostafa / Asif Raza, Muhammad / Umar Younis, Muhammad / Elhadi, Muhammed / Zulfiqar Ali, Mujahid / Quazi, Nadeem / Dudi-Venkata, Nagendra N. / Alselaim, Nahar / Loria, Natasha / Villan Ramírez, Nathalie / Win Than, Nay / Smart, Neil / Trelles, Nelson / Pinto, Nicanor / Allievi, Niccolò / Petrucciani, Niccolo / Antonacci, Nicola / Cillara, Nicola / de'Angelis, Nicola / Gica, Nicolae / Diana Cristiana, Nicolaescu / Krystek, Nicolás / Falco, Nicolò / Pecorelli, Nicolò / Tamini, Nicolò / Andreas Dallas, Nikolaos / Machairas, Nikolaos / Brito, Noelia / Ahmed Fieturi, Nura / Ortega, Nuria / Avila Mercado, Octavio / Irkorucu, Oktay / Alsherif, Omar / Valles, Orestes / Ioannidis, Orestis / Hernández Palmas, Oscar / Isaac Hernandez Palmas, Oscar / Sanz Guadarrama, Oscar / Bozbiyik, Osman / Omelanczuk, Pablo / Ottolino, Pablo / Rodrigues, Pablo / Ruiz, Pablo / Campenni, Paola / Chiarade, Paola / Prieto Olivares, Paola / Baroffio, Paolo / Panaccio, Paolo / Wintringer, Pascal / Di Fronzo, Pasquale / Talento, Pasquale / Favoriti, Pasqualino / Sendino, Patricia / Marsanic, Patrizia / Mifsut, Patricia / Andrade, Paúl / Ajawin, Pawel / Abadía-Barnó, Pedro / Alfonso Najar Castañeda, Pedro / Omar Sillas Arevalos, Pedro / Palazón Bellver, Pedro / Soon Koh, Peng / Souza, Petry / Major, Piotr / Singh Bali, Rajandeep / Mohan Khattar, Rakesh / Bessa Melo, Renato / Ebrahiminia, Reza / Azar, Ricardo / López Murga, Ricardo / Caruso, Riccardo / Pirolo, Riccardo / Brady, Richard / Justin Davies, Richard / Dholakia, Rishi / Rattan, Rishi / Singhal, Rishi / Lim, Robert / Angelico, Roberta / Maria Isernia, Roberta / Tutino, Roberta / Faccincani, Roberto / Peltrini, Roberto / Carrera-Ceron, Rocio / Tejos, Rodrigo / Kashyap, Rohit / Fajardo, Roosevelt / Lozito, Rosa / Madariaga Pareja, Royer / Garbarino, Sabrina / Di Saverio, Salomone / Morales-Conde, Salvador / Benli, Sami / Mansour, Sami / Flores, Samir / Limon Suarez, Samuel / Lopez Ben, Santiago / Fuentes, Sara / Gortazar de las Casas, Sara / Napetti, Sara / Ortiz de Guzmán, Sara / Awad, Selmy / Weckmann Luján, Sergio A. / Gentilli, Sergio / Grimaldi, Sergio / Olivares Pizarro, Sergio / Tayar, Serkan / Nabi, Shakeeb / M Chan, Shannon / Junaid, Sheikh / Rojas, Sidney / Monetti, Silvana / García, Silvia / Salvans, Silvia / Tenconi, Silvia / Shaw, Simon / Santoni, Simone / Andrea Parra, Sofia / Cárdenas, Sofía / Pérez-Bertólez, Sonia / Chiappetta, Sonja / Dessureault, Sophie / Delis, Spiros / Amore Bonapasta, Stefano / Rausei, Stefano / Scaringi, Stefano / Keswani, Sundeep / Muhammad Ali, Syed / Cetinkunar, Süleyman / Lit Derek Fung, Tak / Rawashdeh, Tariq / Nicolás López, Tatiana / De Campos, Tercio / Calderon Duque, Teresa / Perra, Teresa / Liakakos, Theodore / Daskalakis, Theodoros / Liakakos, Theodoros / Barnes, Thomas / Koëter, Tijmen / Zalla, Tiku / González, Tomás E. / Elosua, Tomás / Campagnaro, Tommaso / Brown, Tommy / Luoto, Topi / Alpha Oumar, Touré / Giustizieri, Ugo / Grossi, Ugo / Bracale, Umberto / Rivas, Uriel / Sosa, Valentina / Testa, Valentina / Andriola, Valeria / Tonini, Valeria / Balassone, Valerio / Celentano, Valerio / Progno, Valerio / Raju, Varun / Carroni, Vanessa / Cavallaro, Venera / Rao Katta, Venkateswara / De Simone, Veronica / Primo Romaguera, Vicent / Hugo García Orozco, Victor / Luraschi, Victor / Rachkov, Victor / Turrado-L, Victor / Visag-Castillo, Victor / Dowling, Victoria / Graham, Victoria / Papagni, Vincenzo / Vigorita, Vincenzo / Cordeiro Fonseca, Vinicius / Jimenez Carneros, Virginia / Bellato, Vittoria / Gonçalves, Walyson / Powers, William F. / Grigg, William / Bechstein, Wolf O. / Bing Lim, Yu / Altinel, Yuksel / Golubović, Zoran / Balciscueta, Zutoia

    ACIE Appy Study

    2020  

    Abstract: Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a ... ...

    Abstract Background: Surgical strategies are being adapted to face the COVID-19 pandemic. Recommendations on the management of acute appendicitis have been based on expert opinion, but very little evidence is available. This study addressed that dearth with a snapshot of worldwide approaches to appendicitis. Methods: The Association of Italian Surgeons in Europe designed an online survey to assess the current attitude of surgeons globally regarding the management of patients with acute appendicitis during the pandemic. Questions were divided into baseline information, hospital organization and screening, personal protective equipment, management and surgical approach, and patient presentation before versus during the pandemic. Results: Of 744 answers, 709 (from 66 countries) were complete and were included in the analysis. Most hospitals were treating both patients with and those without COVID. There was variation in screening indications and modality used, with chest X-ray plus molecular testing (PCR) being the commonest (19·8 per cent). Conservative management of complicated and uncomplicated appendicitis was used by 6·6 and 2·4 per cent respectively before, but 23·7 and 5·3 per cent, during the pandemic (both P < 0·001). One-third changed their approach from laparoscopic to open surgery owing to the popular (but evidence-lacking) advice from expert groups during the initial phase of the pandemic. No agreement on how to filter surgical smoke plume during laparoscopy was identified. There was an overall reduction in the number of patients admitted with appendicitis and one-third felt that patients who did present had more severe appendicitis than they usually observe. Conclusion: Conservative management of mild appendicitis has been possible during the pandemic. The fact that some surgeons switched to open appendicectomy may reflect the poor guidelines that emanated in the early phase of SARS-CoV-2.
    Keywords covid19
    Subject code 610
    Language English
    Publishing country it
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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